Utilização de BPM para propor melhorias ao processo de auditoria de contas hospitalares na Unimed Juiz de Fora/MG

Abstract

The health care market has a great demand for its services in recent years and with it the health insurance companies increasingly need to review its processes, facilities, technology and management to serve this market. Added to this, operators often comes seeking review and optimize their assitenciais costs and review their routines in order to be more assertive in their business processes. This article presents results in an analysis supported by BPM - Business Process Management, about the process of auditing of hospital bills in Unimed de Fora / MG Judge, and how to make the audit of hospital bills more efficient and assertive, to get more control procedures, materials used and the optimization of care costs. Through a qualitative research was carried out an analysis of the process and proposed a new model to the audit process.